| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.79 | $158.79 | $158.79 | |
Aetna
| Professional | $89.16 | $156.24 | $192.69 | |
Anthem BCBS
| Professional | $100.00 | $194.18 | $204.96 | |
Cigna
| Facility | $183.96 | $183.96 | $248.86 | |
Cigna
| Professional | $183.96 | $183.96 | $183.96 | |
Kaiser Permanente
| Professional | $194.31 | $240.62 | $360.93 | |
United
| Professional | $215.05 | $215.05 | $232.25 |